BPresented by:

Thomas P. Tarshis MD, MPHMedical Director, Bay Area Children’s

AssociationBoard-Certified Child, Adolescent &

Adult PsychiatristAdjunct Faculty, Stanford University

Author of “Living with Peer Pressure and Bullying”

Who Am I? (Part 1) Born and raised in San Jose, CA UC Berkeley for undergraduate school University of Michigan for Master’s in

Public Health Wayne State University in Detroit, MI for

Medical School Maricopa Integrated Health System in

Phoenix, AZ for Adult Psychiatry Training Stanford University, for Combined

National Institute of Mental Health (NIMH) Research and Child Psychiatry Fellowship

Who Am I? (Part II) Research Area: Bullying and Victimization Developed, tested and validated Peer

Interactions in Primary School (PIPS) Survey

Wrote a book for teens “Living with Peer Pressure and Bullying”

American Academy of Child and Adolescent Psychiatry (AACAP) spokesperson on bullying

Developed and preparing to test the Teacher Interactions in Primary School (TIPS) Survey

All that being said……

Who I Really Am Frustrated with bureaucracies and broken

system of care for bullying/victimization and mental health

Started BACA in 2007 to provide evidence-based, compassionate care to all children suffering from bullying, victimization or mental health issues

Our clinics integrate care in one setting so parents get the needed support for schools, therapies and psychiatry in one place, decreasing our ‘fragmented’ mental health care system

The Bay Area needs clinics delivering the best mental health care possible, free from discrimination based on ethnicity, sexuality or socio-economic status

BACA Locations BACA San Jose

Currently about 10% of our clients commute “treacherous” highway 17 to come to out clinic

BACA Oakland (Opened May 2014) Struggles with extremely high rates of mental

illness in children and lacks integrated care BACA Santa Cruz (Early 2015?)

Coming Next….

Why BACA is Unique Continuity of Care

IOP – Outpatient Clinic – School - Home Treat Family System

Primary clients are ages 0-25 - but we do treat adults (Must be parents of youth in treatment)

Stop Over-Prescribing!!!! Our physicians run teams, do therapy, and will

not pull out their prescription pad inappropriately. We pride ourselves on taking children OFF medicine.

Unlimited DemandYear Patient Visits Staff Website

Visitors2007 122 1 1292008 1010 3 22922009 1436 7 22512010 3341 9 43992011 4549 15 83702012 5495 16 188392013 8294 28 35386

2014* 10950 >40* 52782*

316 Requests for Services in 2014

Programs at BACA Outpatient clinic Minecraft™ Social Skills Group

via Technology Therapists Adolescent Intensive Outpatient

Programs (IOP) Young Adult IOP

Starting Summer 2014 Latency Age IOP

Resuming Fall 2014

Challenges BACA faces… Funding

County Issues, Insurance Issues, Loans and Lines of Credit

Staffing Finding staff that will work for lower salaries but who are

dedicated, compassionate, caring and good clinicians Correcting Bad Practices

Training schools, other clinics and mental health providers on proper treatment methods

Demand Trying to meet unprecedented demand to help all

children and families in need of services; especially children involved in bullying or victimization

Advice for Parents Ask questions

Speak to your mental health providers about best scientific methods to treat your child’s symptoms

Challenge Insurance Companies Become familiar with the term Evidence-Based Medicine

(EBM). Challenge your care providers to deliver the best EBM possible – this means scientific, integrated care in one setting

Advocacy It is morally and ethically wrong for youth with mental illness

to not receive the same quality and level of care as youth with other illnesses

Schools Fight against old policies and demand that schools provide

harassment-free environments for learning as required by law

2011 Suicide Data Centers for Disease Control (CDC)

data from 2011:

Suicide is now the second leading cause of death for 15-24 year olds, (passing homicide) with a rate of 10.7 per 100,000 individuals

For comparison, deaths from cancer for this age range were 3.7 per 100,000

Differences in Funding between Suicide and Cancer

St. Jude Children’s Research Hospital received $475 million dollars in 2011 from contributions, grants and gifts

The National Alliance for the Mentally Ill (NAMI), which serves adults and children, received $8 million dollars in 2011 from contributions, grants and gifts

There is Hope! Collaborative Approach to Children’s Mental

Health (CATCH) www.catchservices.com

As we grow and have good outcomes, we are more successful at helping families get good care for their children, and in negotiations with insurance companies

Stigma (slowly but surely) is decreasing Health care equality for mental illness is now

mandated

Thank You for Your Time!

Contact Information:Website:www.baca.org

E-mail:ttarshis@baca.org